Michaela Rae Wiseman, DDS

General Practice Dentistry · Midlothian, TX

Individual Active NPI

NPI number 1740856780

Practice location

2040 FM 633
#420
Midlothian, TX 76065
Phone
(972) 528-4802

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NPI record

NPI
1740856780
Entity type
Individual (Type 1)
Enumeration date
June 1, 2021
Last updated
July 22, 2022
Certified
July 13, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 38329 TX
Student in an Organized Health Care Education/Training Program 390200000X TD-00-140 NM

Mailing address

2040 FM 663 Ste 420
Midlothian, TX 76065-6571
Phone
(317) 908-7278

Other practice locations (1)

  • 1 University Of New Mexico, Albuquerque, NM 87131-4516 · (505) 720-2019

About Dr. Wiseman

Michaela Rae Wiseman, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2040 FM 633, #420, Midlothian, TX 76065. The NPI number 1740856780 was assigned on June 1, 2021 and the record was last updated on July 22, 2022.

Dr. Wiseman lists 2 licenses in the registry: #38329 (TX) for General Practice Dentistry; #TD-00-140 (NM) for Student in an Organized Health Care Education/Training Program. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michaela Rae Wiseman, DDS?

The NPI number is 1740856780.

What is the phone number of Dr. Wiseman?

The phone number listed for the practice location is (972) 528-4802.

Where is Dr. Wiseman located?

2040 FM 633, #420, Midlothian, TX 76065.

What is the taxonomy code for Dr. Wiseman?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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